-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, M9LwbF6zjr3vbuXCd1bgzpzW1DobA2nSaBmG4e2r8wgWtVPYUwvfgjQBeav8wftV kSQ5RCo12Y8sD5v9y82ydw== 0000727008-04-000095.txt : 20041116 0000727008-04-000095.hdr.sgml : 20041116 20041116150110 ACCESSION NUMBER: 0000727008-04-000095 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041115 FILED AS OF DATE: 20041116 DATE AS OF CHANGE: 20041116 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EZ EM INC CENTRAL INDEX KEY: 0000727008 STANDARD INDUSTRIAL CLASSIFICATION: IN VITRO & IN VIVO DIAGNOSTIC SUBSTANCES [2835] IRS NUMBER: 111999504 STATE OF INCORPORATION: DE FISCAL YEAR END: 0529 BUSINESS ADDRESS: STREET 1: 717 MAIN ST CITY: WESTBURY STATE: NY ZIP: 11590 BUSINESS PHONE: 5163338230 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PEACOCK JEFFREY S CENTRAL INDEX KEY: 0001235661 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 333-100878 FILM NUMBER: 041149278 BUSINESS ADDRESS: STREET 1: C/O E-Z EM INC STREET 2: 1111 MARCUS AVE CITY: LAKE SUCCESS STATE: NY ZIP: 11042 BUSINESS PHONE: 5167669309 MAIL ADDRESS: STREET 1: 2911 CHESTER ST. CITY: OCEANSIDE STATE: NY ZIP: 11572 4 1 pea127.xml X0202 4 2004-11-15 0 0000727008 EZ EM INC EZM 0001235661 PEACOCK JEFFREY S 1111 MARCUS AVENUE SUITE LL-26 LAKE SUCCESS NY 110421034 0 1 0 0 Senior VP - Global Scientific Common Stock Option 14.2250 2004-11-15 4 A 0 15000 0 A 2005-05-28 2014-11-14 Common Stock 15000 15000 D Common Stock Option 6.5550 1997-11-26 2006-11-25 Common Stock 9682 9682 D Options granted under E-Z-EM's 2004 Stock and Incentive Award Plan. Options are exercisable 1/3 on each of May 28, 2005, June 3, 2006 and June 2, 2007. Options granted under E-Z-EM's Employee Stock Option Plan. Options are exercisable 50% per year commencing November 26, 1997. By: Joseph A. Cacchioli, as Attorney-In-Fact 2004-11-16 -----END PRIVACY-ENHANCED MESSAGE-----